1. Home
  2. Directory
  3. Michigan
  4. Jackson
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

W.A. FOOTE MEMORIAL HOSPITAL, INC
NPI 1629000708
Nurse Practitioner in Jackson, MI

Active since July 07, 2006
205 N EAST AVE, JACKSON, MI 49201(517) 788-4800 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 9, 2026, Apr 1, 2016 (2 updates tracked since 2016).

About W.a. Foote Memorial Hospital, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

W.A. FOOTE MEMORIAL HOSPITAL, INC (NPI 1629000708), doing business as Henry Ford Allegiance Health, is a healthcare organization registered as a nurse practitioner in Jackson, Michigan and active in the NPI registry since July 2006. The organization lists Kimberly Cebalt, Director, as its authorized official.

NPPES Registry Identity

NPI1629000708
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameW.A. FOOTE MEMORIAL HOSPITAL, INC
Location Address205 N EAST AVEJackson, MI 49201-1753
Mailing AddressPo Box 670884Detroit, MI 48267-2728 · (800) 999-5829
Phone(517) 788-4800
Organization SubpartYesParent: Wa Foote Memorial Hospital, Inc
Authorized OfficialKimberly CebaltDirector · (313) 874-6764
Enumeration DateJuly 7, 2006
Last NPPES UpdateOctober 9, 20262 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1629000708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
205 N EAST AVE, Jackson, MI 49201
Open in Google Maps ↗

Other Names 2

Doing Business AsHenry Ford Allegiance Health
Doing Business AsHenry Ford Jackson Health

Other Identifiers 2

Other500C810570MI · Bcbsm Cnp
OtherCC5829MI · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA RENE DANEK PA-C
Physician Assistant
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 788-4811
TERRI LYNN LADWIG ACNP-BC
Nurse Practitioner (Acute Care)
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 205-4800
SAMANTHA MISHRA DO
Student in an Organized Health Care Education/Training Program
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 788-4800
JOSHUA BOOTH CRNA
Nurse Anesthetist, Certified Registered
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 205-4800
NADINE BALLOUT MD
Anesthesiology
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 205-4730
MICHELLE WINTERS
Specialist/Technologist (Athletic Trainer)
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 205-4800
NINA MARIE BOCK PA-C
Physician Assistant
205 N EAST AVE
JACKSON, MI 49201
Jackson County (248) 990-5924
MRS. CHRISTINE HUFF RDN
Dietitian, Registered
205 N EAST AVE, FOOTE HOSPITAL, NUTRITION SERVICES DEPT.
JACKSON, MI 49201
Jackson County (517) 768-7793

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is W.A. Foote Memorial Hospital, Inc's NPI number?

The NPI number for W.A. Foote Memorial Hospital, Inc is 1629000708. It was assigned to this organization in the NPPES registry on July 7, 2006. The provider is doing business as Henry Ford Allegiance Health and Henry Ford Jackson Health.

Where is W.A. Foote Memorial Hospital, Inc located?

W.A. Foote Memorial Hospital, Inc is located at 205 N East Ave, Jackson, MI 49201. The listed phone number is (517) 788-4800.

What is W.A. Foote Memorial Hospital, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

What insurance does W.A. Foote Memorial Hospital, Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list W.A. Foote Memorial Hospital, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for W.A. Foote Memorial Hospital, Inc was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.